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目的评价球囊扩张术治疗食管、贲门癌术后吻合口狭窄的疗效。方法 168例吻合口狭窄,治疗2次的61例,治疗3次的57例,治疗4次以上50例,共计612次,所有病例均经口操作,首先从小口径球囊开始逐渐增加球囊直径,循序渐进的进行扩张,其中3例反复扩张无效置入支架。结果治疗全部成功,随访6~12个月,饮食情况较治疗前明显改善,所有患者体质量较治疗前增加1~5 kg,无并发症出现。结论球囊扩张术是食管、贲门癌术后吻合口狭窄最有效的非手术治疗方法,吻合口支架近期可明显改善患者的生存质量。
Objective To evaluate the curative effect of balloon dilation in the treatment of anastomotic stenosis after esophageal and cardia cancer. Methods 168 cases of anastomotic stenosis, 61 cases treated twice, 57 cases treated 3 times, 50 cases treated more than 4 times, a total of 612 times, all cases were oral operation, first of all from the small diameter balloon began to gradually increase the balloon diameter , Step by step to expand, including 3 cases of repeated expansion ineffective placement stent. Results All treatments were successful. The patients were followed up for 6 to 12 months. The diet condition was significantly improved compared with that before treatment. The body weight of all patients was increased by 1-5 kg compared with that before treatment, and no complication occurred. Conclusions Balloon dilation is the most effective non-surgical treatment for anastomotic stricture of esophagus and cardia cancer. Anastomotic stent can significantly improve the quality of life of patients.